A patient's Foley catheter was removed 24 hours before. On assessment, the nurse found that the urine output is less than expected volume. Which of the following is the priority nursing action?

Option 1 : Administer Inj. Lasix 10 mg IV

Concept:

• Foley's catheter insertion -> A catheter is inserted into the bladder through the urethra and remains in site to drain urine.
• Indications:
  • To drain bladder prior to, during or after surgery.
  • For investigations
  • To accurately measure the urine output
  • To relieve retention of urine
  • To relieve urinary incontinence
• When a foley's catheter is removed, a patient must be monitored for infection and urinary retention.​

Explanation:

• Normally individual starts voiding within 2-3 hours after catheter removal.
• If not, patient should be advised to:
  • Drink plenty of fluids
  • Walking
• Urine output less than expected outcome even after 24 hours of catheter removal, may be an indication of urinary retention.
• Treatment -> Administer diuretics (Inj. Lasix 10 mg IV) 

• Infection should be treated with antibiotics.
• Reasons for decreased urine out put :
  • Type of surgery performed
  • Anesthesia effect
  • Medications
  • Urinary retention